NPI | 1043527393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL FL PY 7986) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7986) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2017-02-02 |